Organization
LABORATORIO CLINICO FAJARDO, INC.
Active
Organization
LABORATORIO CLINICO FAJARDO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA IVETTE AVILES MT (OWNER-PRESIDENT OF CORP-LAB. SUPERV)
(787) 863-5952
Entity
Organization
Contact information
Practice address
40 CARR 194, STE. 100 FDO. CINEMA BLDG, FAJARDO, PR 00738-2940
(787) 863-5952
(787) 863-3116
Mailing address
40 CARR 194, SUITE 100, FAJARDO, PR 00738-2940
(787) 863-5952
(787) 863-3116
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1106
PR
Other
Enumeration date
04/27/2006
Last updated
12/15/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up